Re vince vd qlovtg ~ MOG LQ Fundamentals of Dentistry Performance Exam Rubric: a Operatory Asepsis \ K QA Student Name: {Cove HO elm ADS 8S+H bo 80% Proficiency required A Suit adc ¥% ems oe Chess ‘ LMA § 1 tiga Not Proficient, does not complete the tasks or completes it with major errors ‘Somewhat proficient, complet: tasks with more than one mistake or prompt Almost proficient, completes tasks with one mistake and/or prompt [ne |= elo Proficient, compl os tasks correctly A he beginning ofthe day: Using anproriate digesting technique 14, Flushes sink faucets for two (2) minutes (-°* %' \ous) V2, *Places mask, safety glasses, wash hands and don gloves LAC Spray-wipe-spray chairs, dental unit, counters, water reservoir xccp} Liqyhi") Prepare Operatory for Patient Care wae Lac Fillwater reservoir V27 Turn on dental unit master and water switch 13> Place disposable barriers (0 ore) (AC Set up counter and tray for procedure to be performed 0124) 0198) Je Does not touch handles, mask, glasses, any part of the body or dental stool with contaminated gloves (2 Obtain additional supplies inside cabinets using an overglove, clean gauze, paper towel or aseptic-wipe ugey ‘Open container lid without contaminating inside the lid. Removes items with clean transfer forceps or dumps out needed amount onto tray 5. *Assemble a/w syringe with tip and check for stability and water output Jed §, *Assemble handpieces and run with bur to check for stability and water-——S pomgice output flaw During Patient Treatment: Prevents cross contamination 0126) OVA GDS Deer ‘Between Patients: Using appropriate disinfecting technique LAP * Removes contaminated gloves, wash hands and place heavy utility gloves. Leave mask and safety glasses on. B-Flushes highspeed handpiece with bur and air/water syringe with tip for thirty (30) seconds Disassemble from dental unit hoses and air/water syringe.) |B With a isoprophi alcohol gauze, wipe visible debris and bioburden from the handpieces cleaning the fibra-optics on the highspeed 0@2 3 Between Patients: Disposing of contaminated materials 47 Remove disposable barriers and discard in a non-regulated bag 12°" Remove cotton, gauze and paper debris and discard in a non-regulated bag 137 *Place sharps (glass, needles, scalpel blades, etc.) in the sharp container Secure all contaminated instruments on tray and spray with surface disinfectant. Take instruments and handpieces to ste area.) 01%) 4 | Operatory Asepsis*Spray-wipe-spray—wait: 012907) iG A Assemble all hoses and drape over dental unit L2- Using the Spray-wipe-spray technique. Spray hoses, counters, dental unit and chair. Wipe in the same order you sprayed. Apply the second spray in the same order and wait (the time recommended by the manufacturer) ce _ End ofthe Day = 011) Using heavy utility gloves, mask and safety glasses, run 4-8 07, suction hose detergent/disinfectant through oral evacuator and saliva ejector 127 Remove suction trap basket, clean or discards 137 Shut master switch off, empty water reservolr. Turn master switch on and run the highspeed and air/water syringe hoses to cenove internal wates “a V/AY/ Lac Cisifedt safety glasses, Yemove mask, wash anqjary uty gloves and wai wait hands 15¢_ Shut off dental unit master switch. Shut off master suction pump and air switch *A zero “0” in any asterisk section the student must repeat the performance exam 85 pts 1* repeat hao] 4.25 pts 2™ repeat 17 points aut of 21 necessary Opts 3“ repeat Strengths: (Briefly state what you did well and why) ye SPOLS ecm , OOK CXCES. COnMEm Nene fe Areas to improve: (State what you need to improve and how you will accomplish it) / DaXeSime Io Soodoon | -Prccsres wnoiy Maks, GUTS TeHSN Ravi . Insight: (What did you learn that was significant) ¥ ~ take Your ine, apa sprument, - vt teols orsnanatoyy) 5 We use wi